Skin cancer is by far the most common type of cancer. Early detection is the key to increase the chances for successful treatment significantly. Currently, Deep Neural Networks are the state-of-the-art results on automated skin cancer classification. To push the results further, we need to address the lack of annotated data, which is expensive and require much effort from specialists. To bypass this problem, we propose using Generative Adversarial Networks for generating realistic synthetic skin lesion images. To the best of our knowledge, our results are the first to show visually-appealing synthetic images that comprise clinically-meaningful information.
In this paper, the effectiveness and capability of convolutional neural networks have been studied in the classification of 8 skin diseases. Different pre-trained state-of-the-art architectures (DenseNet 201, ResNet 152, Inception v3, InceptionResNet v2) were used and applied on 10135 dermoscopy skin images in total (HAM10000: 10015, PH2: 120). The utilized dataset includes 8 diagnostic categories - melanoma, melanocytic nevi, basal cell carcinoma, benign keratosis, actinic keratosis and intraepithelial carcinoma, dermatofibroma, vascular lesions, and atypical nevi. The aim is to compare the ability of deep learning with the performance of highly trained dermatologists. Overall, the mean results show that all deep learning models outperformed dermatologists (at least 11%). The best ROC AUC values for melanoma and basal cell carcinoma are 94.40% (ResNet 152) and 99.30% (DenseNet 201) versus 82.26% and 88.82% of dermatologists, respectively. Also, DenseNet 201 had the highest macro and micro averaged AUC values for overall classification (98.16%, 98.79%, respectively).
Deep learning models show remarkable results in automated skin lesion analysis. However, these models demand considerable amounts of data, while the availability of annotated skin lesion images is often limited. Data augmentation can expand the training dataset by transforming input images. In this work, we investigate the impact of 13 data augmentation scenarios for melanoma classification trained on three CNNs (Inception-v4, ResNet, and DenseNet). Scenarios include traditional color and geometric transforms, and more unusual augmentations such as elastic transforms, random erasing and a novel augmentation that mixes different lesions. We also explore the use of data augmentation at test-time and the impact of data augmentation on various dataset sizes. Our results confirm the importance of data augmentation in both training and testing and show that it can lead to more performance gains than obtaining new images. The best scenario results in an AUC of 0.882 for melanoma classification without using external data, outperforming the top-ranked submission (0.874) for the ISIC Challenge 2017, which was trained with additional data.
Knowledge transfer impacts the performance of deep learning -- the state of the art for image classification tasks, including automated melanoma screening. Deep learning's greed for large amounts of training data poses a challenge for medical tasks, which we can alleviate by recycling knowledge from models trained on different tasks, in a scheme called transfer learning. Although much of the best art on automated melanoma screening employs some form of transfer learning, a systematic evaluation was missing. Here we investigate the presence of transfer, from which task the transfer is sourced, and the application of fine tuning (i.e., retraining of the deep learning model after transfer). We also test the impact of picking deeper (and more expensive) models. Our results favor deeper models, pre-trained over ImageNet, with fine-tuning, reaching an AUC of 80.7% and 84.5% for the two skin-lesion datasets evaluated.